| NPI | 1790433886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMYA KUMAR Speech Language Pathologist 978-985-7835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |